New Client Intake Form
Hi there! Please fill this form out if you are a new client.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
What is the best way to contact you?
Email provided
Phone number provided
How did you hear about us?
Social media
Another Client
Referral
Other
What service/s are you looking to have done?
Blonding service (Highlights, balayage, money piece, etc. )
Color (All over color, going darker, grey coverage, etc.)
Extensions
Haircut
Hair treatment (clarifying, deep conditioner, hard water, etc.)
Hair Tinsel
Keratin smoothing treatment
Styling
Consultation
Tell me about your hair! (3 year color history, length, texture, integrity and health, etc)
How often do you like to get your hair done?
Consistently (6-8 weeks)
When I’m due (8-12)
A few times a year
Not often
Would you like more information on how to care for your hair at home?
Styling education
Styling tools
Hair care and products
No thank you
Upload any inspiration photos you may have, as well as your hair currently.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What days are you available to come in?
Monday
Tuesday
Wednesday
Thursday
Whenever, I’m flexible!
What time of day works best for you
Morning
Afternoon
Evening
Whenever, I’m flexible!
Do you have any questions or concerns?
Thank you for your time, I look forward to seeing you in my chair!
Submit
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